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<#FormHiddenArea></#FormHiddenArea><div id="FormContent" style="width:100%;height:calc(100% - 50px);overflow-y:auto;background-color:white;margin-bottom:50px;"><div id="SDNotice" style="margin:0 auto;width:80%;"></div><div style="margin:0 10px;width:90%;height:100%;"><div class="itemCat" id="Title0" onclick="objScreen.toggle('基本信息')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;基本信息</div><div title="基本信息"><p title="开展口腔种植术的机构信息：" class="itemsubCat">开展口腔种植术的机构信息：</p><div class="itemTR" id="1448816132080295937_Row" dic='[{"formItemId":1448816132080295937,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816154842783746,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816132080295937,"isDefault":0,"updateDate":1700190901000,"code":"n","id":1448816154880532481,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="OIT-0-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否填写医疗机构相关信息</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816132080295937" itemCode="OIT-0-1-1"></div><a id="1448816132080295937_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816132080295937_Note"></span></div><div class="itemTR" id="1448816132340342786_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-0-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>机构名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816132340342786" itemCode="OIT-0-1-2"><a id="1448816132340342786_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816132340342786_Note"></span></div><div class="itemTR" id="1448816132973682690_Row" dic='[{"formItemId":1448816132973682690,"isDefault":0,"updateDate":1700190901000,"code":"def","id":1448816154947641345,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1448816132973682690,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816154977001474,"indNo":2,"isActive":1,"desc":"三级综合医院"},{"formItemId":1448816132973682690,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816155010555905,"indNo":3,"isActive":1,"desc":"二级综合医院"},{"formItemId":1448816132973682690,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816155044110337,"indNo":4,"isActive":1,"desc":"三级口腔医院"},{"formItemId":1448816132973682690,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816155073470466,"indNo":5,"isActive":1,"desc":"二级口腔医院"},{"formItemId":1448816132973682690,"isDefault":0,"updateDate":1700190901000,"code":"e","id":1448816155107024898,"indNo":6,"isActive":1,"desc":"口腔门诊机构"}]'><div style="display:inline-block;width:35%;" title="OIT-0-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>机构类别</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816132973682690" itemCode="OIT-0-1-3"><a id="1448816132973682690_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816132973682690_Note"></span></div><div class="itemTR" id="1448816133305032705_Row" dic='[{"formItemId":1448816133305032705,"isDefault":0,"updateDate":1700190901000,"code":"def","id":1448816155165745153,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1448816133305032705,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816155199299585,"indNo":2,"isActive":1,"desc":"公立"},{"formItemId":1448816133305032705,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816155232854018,"indNo":3,"isActive":1,"desc":"民营"}]'><div style="display:inline-block;width:35%;" title="OIT-0-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>机构性质</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816133305032705" itemCode="OIT-0-1-4"><a id="1448816133305032705_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816133305032705_Note"></span></div><div class="itemTR" id="1448816133506359297_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-0-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>牙椅数</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816133506359297" itemCode="OIT-0-1-5"><a id="1448816133506359297_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816133506359297_Note"></span></div><div class="itemTR" id="1448816134382968833_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-0-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>所在省</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816134382968833" itemCode="OIT-0-1-6-1"><a id="1448816134382968833_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816134382968833_Note"></span></div><div class="itemTR" id="1448816134663987202_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-0-1-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>所在市</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816134663987202" itemCode="OIT-0-1-6-2"><a id="1448816134663987202_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816134663987202_Note"></span></div><div class="itemTR" id="1448816135267966978_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-0-1-6-3" class="itemDescTD">所在区县</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816135267966978" itemCode="OIT-0-1-6-3"><a id="1448816135267966978_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816135267966978_Note"></span></div><div class="itemTR" id="1448816135532208129_Row" dic='[{"formItemId":1448816135532208129,"isDefault":0,"updateDate":1700190901000,"code":"def","id":1448816155295768577,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1448816135532208129,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816155325128705,"indNo":2,"isActive":1,"desc":"公立"},{"formItemId":1448816135532208129,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816155354488833,"indNo":3,"isActive":1,"desc":"民营"}]'><div style="display:inline-block;width:35%;" title="OIT-0-1-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>所有制形式</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816135532208129" itemCode="OIT-0-1-7"><a id="1448816135532208129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816135532208129_Note"></span></div><p title="质控医师/质控护士：" class="itemsubCat">质控医师/质控护士：</p><div class="itemTR" id="1448816135926472705_Row" dic='[{"formItemId":1448816135926472705,"isDefault":0,"updateDate":1700190901000,"code":"def","id":1448816155417403394,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1448816135926472705,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816155450957825,"indNo":2,"isActive":1,"desc":"门诊治疗"},{"formItemId":1448816135926472705,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816155480317954,"indNo":3,"isActive":1,"desc":"住院治疗"}]'><div style="display:inline-block;width:35%;" title="OIT-0-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗模式</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816135926472705" itemCode="OIT-0-2-1"><a id="1448816135926472705_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816135926472705_Note"></span></div><div class="itemTR" id="1448816136111022081_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>质控医师</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816136111022081" itemCode="CM-0-1-1-1"><a id="1448816136111022081_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816136111022081_Note"></span></div><div class="itemTR" id="1448816136329125890_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>质控护士</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816136329125890" itemCode="CM-0-1-1-2"><a id="1448816136329125890_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816136329125890_Note"></span></div><div class="itemTR" id="1448816136622727169_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>主治医师</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816136622727169" itemCode="CM-0-1-1-3"><a id="1448816136622727169_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816136622727169_Note"></span></div><div class="itemTR" id="1448816136761139202_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>责任护士</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816136761139202" itemCode="CM-0-1-1-4"><a id="1448816136761139202_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816136761139202_Note"></span></div><div class="itemTR" id="1448816136891162625_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>上报科室</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816136891162625" itemCode="CM-0-1-1-5"><a id="1448816136891162625_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816136891162625_Note"></span></div><div class="itemTR" id="1448816137029574658_Row" dic='[]'><div style="display:inline-block;width:35%;" title="caseId" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者病案号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816137029574658" itemCode="caseId"><a id="1448816137029574658_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816137029574658_Note"></span></div><div class="itemTR" id="1448816137264455681_Row" dic='[]'><div style="display:inline-block;width:35%;" title="IDCard" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身份证号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816137264455681" itemCode="IDCard"><a id="1448816137264455681_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816137264455681_Note"></span></div><div class="itemTR" id="1448816137671303169_Row" dic='[{"formItemId":1448816137671303169,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816155543232513,"indNo":1,"isActive":1,"desc":"22.79 上颌窦提升术"},{"formItemId":1448816137671303169,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816155568398337,"indNo":2,"isActive":1,"desc":"23.5 种植牙"},{"formItemId":1448816137671303169,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816155618729985,"indNo":3,"isActive":1,"desc":"23.6 假牙置入"},{"formItemId":1448816137671303169,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816155656478722,"indNo":4,"isActive":1,"desc":"76.09 面骨的其他切开术"},{"formItemId":1448816137671303169,"isDefault":0,"updateDate":1700190901000,"code":"e","id":1448816155702616066,"indNo":5,"isActive":1,"desc":"76.9100 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style="color:red">*</span>其他主要手术操作ICD-9-CM-3四位亚目编码与名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816137906184193" itemCode="OIT-0-1-4-1"><a id="1448816137906184193_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816137906184193_Note"></span></div><div class="itemTR" id="1448816138149453825_Row" dic='[{"formItemId":1448816138149453825,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816155933302786,"indNo":1,"isActive":1,"desc":"22.7900x003 上颌窦提升术"},{"formItemId":1448816138149453825,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816155996217345,"indNo":2,"isActive":1,"desc":"23.5x00 种植牙"},{"formItemId":1448816138149453825,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816156054937602,"indNo":3,"isActive":1,"desc":"23.5x01 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id="1448816138401112066_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-0-1-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他主要手术操作ICD-9-CM-3六位临床扩展编码与名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816138401112066" itemCode="OIT-0-1-4-2"><a id="1448816138401112066_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816138401112066_Note"></span></div><div class="itemTR" id="1448816138522746881_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-0-2-4-1" class="itemDescTD">门诊初诊日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816138522746881" itemCode="OIT-0-2-4-1"><a id="1448816138522746881_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816138522746881_Note"></span></div><div class="itemTR" id="1448816138644381698_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-0-2-4-2" class="itemDescTD">种植一期手术日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816138644381698" itemCode="OIT-0-2-4-2"><a id="1448816138644381698_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816138644381698_Note"></span></div><p title="相关日期时间信息：" class="itemsubCat">相关日期时间信息：</p><div class="itemTR" id="1448816138795376641_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816138795376641" itemCode="CM-0-2-1-1"><a id="1448816138795376641_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816138795376641_Note"></span></div><div class="itemTR" id="1448816139017674753_Row" dic='[{"formItemId":1448816139017674753,"isDefault":0,"updateDate":1700190901000,"code":"M","id":1448816156998656002,"indNo":1,"isActive":1,"desc":"男"},{"formItemId":1448816139017674753,"isDefault":0,"updateDate":1700190901000,"code":"F","id":1448816157028016130,"indNo":2,"isActive":1,"desc":"女"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者性别</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816139017674753" itemCode="CM-0-2-1-2"></div><a id="1448816139017674753_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816139017674753_Note"></span></div><div class="itemTR" id="1448816139235778561_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者体重（kg）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816139235778561" itemCode="CM-0-2-1-3"><a id="1448816139235778561_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816139235778561_Note"></span></div><div class="itemTR" id="1448816139365801985_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816139365801985" itemCode="CM-0-2-1-5"><a id="1448816139365801985_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816139365801985_Note"></span></div><div class="itemTR" id="1448816139487436802_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-4" class="itemDescTD">体重指数(Kg/m2)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816139487436802" itemCode="CM-0-2-1-4"><a id="1448816139487436802_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816139487436802_Note"></span></div><div class="itemTR" id="1448816139625848834_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD">入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816139625848834" itemCode="CM-0-2-4-1"><a id="1448816139625848834_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816139625848834_Note"></span></div><div class="itemTR" id="1448816139856535553_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD">出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816139856535553" itemCode="CM-0-2-4-2"><a id="1448816139856535553_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816139856535553_Note"></span></div><div class="itemTR" id="1448816140074639361_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术开始（切皮）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816140074639361" itemCode="CM-0-2-6-1"><a id="1448816140074639361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816140074639361_Note"></span></div><div class="itemTR" id="1448816140200468481_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术结束（缝皮结束）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816140200468481" itemCode="CM-0-2-6-2"><a id="1448816140200468481_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816140200468481_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('OIT-1: 术前评估')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;OIT-1: 术前评估</div><div title="OIT-1: 术前评估"><p title="既往史及现病史评估" class="itemsubCat">既往史及现病史评估</p><div class="itemTR" id="1448816140322103298_Row" dic='[{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816157090930690,"indNo":2,"isActive":1,"desc":"有住过院或患过严重疾病的记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816157124485122,"indNo":3,"isActive":1,"desc":"有拔牙等手术史的记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816157153845250,"indNo":4,"isActive":1,"desc":"有胸前区痛（心绞痛）的记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816157183205377,"indNo":5,"isActive":1,"desc":"有冠心病的记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"e","id":1448816157216759809,"indNo":6,"isActive":1,"desc":"有高血压的记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"f","id":1448816157250314241,"indNo":7,"isActive":1,"desc":"有糖尿病的记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"g","id":1448816157275480065,"indNo":8,"isActive":1,"desc":"有头痛、头昏、晕厥的记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"h","id":1448816157304840193,"indNo":9,"isActive":1,"desc":"有中风或脑溢血的记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"i","id":1448816157363560449,"indNo":10,"isActive":1,"desc":"有甲亢的记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"j","id":1448816157418086402,"indNo":11,"isActive":1,"desc":"有肝炎的记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"k","id":1448816157468418050,"indNo":12,"isActive":1,"desc":"有肾炎的记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"l","id":1448816157527138305,"indNo":13,"isActive":1,"desc":"有风湿病的记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"m","id":1448816157577469954,"indNo":14,"isActive":1,"desc":"有自发出血或淤青，或止血困难的记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"oth","id":1448816157619412993,"indNo":15,"isActive":1,"desc":"有既往史与现病史的其他相关情况记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"UTD","id":1448816157669744641,"indNo":16,"isActive":1,"desc":"无法确定或无记录"},{"formItemId":1448816140322103298,"isDefault":0,"updateDate":1700190901000,"code":"N","id":1491965953926234113,"indNo":1,"isActive":1,"desc":"无明显异常情况"}]'><div style="display:inline-block;width:35%;" title="OIT-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>既往史与现病史的其他相关情况记录</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816140322103298" itemCode="OIT-1-1-1"></div><a id="1448816140322103298_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816140322103298_Note"></span></div><div class="itemTR" id="1448816140443738113_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-1-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>既往史与现病史的其他相关情况记录</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816140443738113" itemCode="OIT-1-1-1-1"><a id="1448816140443738113_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816140443738113_Note"></span></div><div class="itemTR" id="1448816140728950786_Row" dic='[{"formItemId":1448816140728950786,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816157770407938,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816140728950786,"isDefault":0,"updateDate":1700190901000,"code":"n","id":1448816157803962369,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="OIT-1-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有血液系统疾病的记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816140728950786" itemCode="OIT-1-1-2"></div><a id="1448816140728950786_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816140728950786_Note"></span></div><div class="itemTR" id="1448816140968026114_Row" dic='[{"formItemId":1448816140968026114,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816157866876929,"indNo":1,"isActive":1,"desc":"有白血病"},{"formItemId":1448816140968026114,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816157900431361,"indNo":2,"isActive":1,"desc":"有贫血"},{"formItemId":1448816140968026114,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816157929791489,"indNo":3,"isActive":1,"desc":"有血小板减少性紫癜"},{"formItemId":1448816140968026114,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816157963345921,"indNo":4,"isActive":1,"desc":"有淋巴瘤"},{"formItemId":1448816140968026114,"isDefault":0,"updateDate":1700190901000,"code":"oth","id":1448816157992706050,"indNo":5,"isActive":1,"desc":"有血液系统疾病的其他相关情况记录"}]'><div style="display:inline-block;width:35%;" title="OIT-1-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血液系统疾病的记录</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816140968026114" itemCode="OIT-1-1-3"></div><a id="1448816140968026114_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816140968026114_Note"></span></div><div class="itemTR" id="1448816141081272321_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-1-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血液系统疾病的其他相关情况记录</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816141081272321" itemCode="OIT-1-1-3-1"><a id="1448816141081272321_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816141081272321_Note"></span></div><div class="itemTR" id="1448816141383262210_Row" dic='[{"formItemId":1448816141383262210,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816158059814914,"indNo":1,"isActive":1,"desc":"没有骨质疏松"},{"formItemId":1448816141383262210,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816158089175042,"indNo":2,"isActive":1,"desc":"未服用双磷酸盐类药物"},{"formItemId":1448816141383262210,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816158118535170,"indNo":3,"isActive":1,"desc":"曾服用双磷酸盐类药物"}]'><div style="display:inline-block;width:35%;" title="OIT-1-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有骨质疏松的记录</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816141383262210" itemCode="OIT-1-1-4"></div><a id="1448816141383262210_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816141383262210_Note"></span></div><div class="itemTR" id="1448816141643309058_Row" dic='[{"formItemId":1448816141643309058,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816158194032642,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816141643309058,"isDefault":0,"updateDate":1700190901000,"code":"n","id":1448816158231781377,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="OIT-1-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有药品、食物等过敏史的记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816141643309058" itemCode="OIT-1-1-5"></div><a id="1448816141643309058_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816141643309058_Note"></span></div><div class="itemTR" id="1448816141823664130_Row" dic='[{"formItemId":1448816141823664130,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816158332444673,"indNo":1,"isActive":1,"desc":"有青霉素类药物过敏史"},{"formItemId":1448816141823664130,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816158403747842,"indNo":2,"isActive":1,"desc":"有麻药类药物过敏史"},{"formItemId":1448816141823664130,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816158462468098,"indNo":3,"isActive":1,"desc":"有食物过敏史"},{"formItemId":1448816141823664130,"isDefault":0,"updateDate":1700190901000,"code":"oth","id":1448816158529576962,"indNo":4,"isActive":1,"desc":"有其他药品、食物等过敏史"}]'><div style="display:inline-block;width:35%;" title="OIT-1-1-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药品、食物等过敏史的记录</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816141823664130" itemCode="OIT-1-1-6"></div><a id="1448816141823664130_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816141823664130_Note"></span></div><div class="itemTR" id="1448816141936910338_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-1-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他药品、食物等过敏史</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816141936910338" itemCode="OIT-1-1-6-1"><a id="1448816141936910338_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816141936910338_Note"></span></div><div class="itemTR" id="1448816142050156545_Row" dic='[{"formItemId":1448816142050156545,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816158617657345,"indNo":1,"isActive":1,"desc":"否认在月经或妊娠期"},{"formItemId":1448816142050156545,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816158655406082,"indNo":2,"isActive":1,"desc":"在月经期"},{"formItemId":1448816142050156545,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816158680571906,"indNo":3,"isActive":1,"desc":"在妊娠期"},{"formItemId":1448816142050156545,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816158709932033,"indNo":4,"isActive":1,"desc":"近期计划妊娠"}]'><div style="display:inline-block;width:35%;" title="OIT-1-1-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否在月经或妊娠期</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816142050156545" itemCode="OIT-1-1-7"></div><a id="1448816142050156545_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816142050156545_Note"></span></div><p title="局部评估：" class="itemsubCat">局部评估：</p><div class="itemTR" id="1448816142159208449_Row" dic='[{"formItemId":1448816142159208449,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816158785429505,"indNo":2,"isActive":1,"desc":"余留牙情况有异常"},{"formItemId":1448816142159208449,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816158810595330,"indNo":3,"isActive":1,"desc":"牙周组织有异常"},{"formItemId":1448816142159208449,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816158839955457,"indNo":4,"isActive":1,"desc":"颞颌关节有异常"},{"formItemId":1448816142159208449,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816158869315585,"indNo":5,"isActive":1,"desc":"咬合情况有异常"},{"formItemId":1448816142159208449,"isDefault":0,"updateDate":1700190901000,"code":"e","id":1448816158898675714,"indNo":6,"isActive":1,"desc":"口腔黏膜有病变"},{"formItemId":1448816142159208449,"isDefault":0,"updateDate":1700190901000,"code":"f","id":1448816158928035841,"indNo":7,"isActive":1,"desc":"角化龈情况有异常"},{"formItemId":1448816142159208449,"isDefault":0,"updateDate":1700190901000,"code":"g","id":1448816158957395969,"indNo":8,"isActive":1,"desc":"有口腔不良习惯的记录"},{"formItemId":1448816142159208449,"isDefault":0,"updateDate":1700190901000,"code":"oth","id":1448816158986756097,"indNo":9,"isActive":1,"desc":"其他"},{"formItemId":1448816142159208449,"isDefault":0,"updateDate":1700190901000,"code":"N","id":1491965954177892354,"indNo":1,"isActive":1,"desc":"无明显异常情况"}]'><div style="display:inline-block;width:35%;" title="OIT-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>余留牙情况是否有异常</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816142159208449" itemCode="OIT-1-2-1"></div><a id="1448816142159208449_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816142159208449_Note"></span></div><div class="itemTR" id="1448816142381506561_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-1-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他余留牙异常</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816142381506561" itemCode="OIT-1-2-1-1"><a id="1448816142381506561_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816142381506561_Note"></span></div><p title="血液学检查：" class="itemsubCat">血液学检查：</p><div class="itemTR" id="1448816142616387585_Row" dic='[{"formItemId":1448816142616387585,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816159074836482,"indNo":2,"isActive":1,"desc":"血常规有异常"},{"formItemId":1448816142616387585,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816159104196609,"indNo":3,"isActive":1,"desc":"凝血有异常"},{"formItemId":1448816142616387585,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816159146139650,"indNo":4,"isActive":1,"desc":"血糖有异常"},{"formItemId":1448816142616387585,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816159179694082,"indNo":5,"isActive":1,"desc":"感染标志物有异常"},{"formItemId":1448816142616387585,"isDefault":0,"updateDate":1700190901000,"code":"oth","id":1448816159221637122,"indNo":6,"isActive":1,"desc":"其他"},{"formItemId":1448816142616387585,"isDefault":0,"updateDate":1700190901000,"code":"UTD","id":1448816159276163073,"indNo":7,"isActive":1,"desc":"无法确定或无记录"},{"formItemId":1448816142616387585,"isDefault":0,"updateDate":1700190901000,"code":"N","id":1491965954278555649,"indNo":1,"isActive":1,"desc":"无明显异常情况"}]'><div style="display:inline-block;width:35%;" title="OIT-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血常规是否有异常</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816142616387585" itemCode="OIT-1-3-1"></div><a id="1448816142616387585_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816142616387585_Note"></span></div><div class="itemTR" id="1448816142742216706_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-1-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他血常规异常</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816142742216706" itemCode="OIT-1-3-1-1"><a id="1448816142742216706_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816142742216706_Note"></span></div></div><div class="itemCat" id="Title2" onclick="objScreen.toggle('OIT-2: 影像学检查与诊断情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;OIT-2: 影像学检查与诊断情况</div><div title="OIT-2: 影像学检查与诊断情况"><p title="影像学检查项目：" class="itemsubCat">影像学检查项目：</p><div class="itemTR" id="1448816142851268610_Row" dic='[{"formItemId":1448816142851268610,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816159389409281,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816142851268610,"isDefault":0,"updateDate":1700190901000,"code":"n","id":1448816159443935234,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="OIT-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有全口牙位曲面体层X线片</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816142851268610" itemCode="OIT-2-1-1"></div><a id="1448816142851268610_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816142851268610_Note"></span></div><div class="itemTR" id="1448816142964514817_Row" dic='[{"formItemId":1448816142964514817,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816159515238401,"indNo":1,"isActive":1,"desc":"余留牙有异常"},{"formItemId":1448816142964514817,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816159548792833,"indNo":2,"isActive":1,"desc":"颌骨有异常"},{"formItemId":1448816142964514817,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816159578152961,"indNo":3,"isActive":1,"desc":"缺牙区可用有骨高度异常"},{"formItemId":1448816142964514817,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816159615901698,"indNo":4,"isActive":1,"desc":"缺牙区相邻解剖结构有异常"},{"formItemId":1448816142964514817,"isDefault":0,"updateDate":1700190901000,"code":"e","id":1448816159645261826,"indNo":5,"isActive":1,"desc":"无异常情况"},{"formItemId":1448816142964514817,"isDefault":0,"updateDate":1700190901000,"code":"oth","id":1448816159674621954,"indNo":6,"isActive":1,"desc":"其他"},{"formItemId":1448816142964514817,"isDefault":0,"updateDate":1700190901000,"code":"UTD","id":1448816159712370690,"indNo":7,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="OIT-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>全口牙位曲面体层X线片有无异常情况</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816142964514817" itemCode="OIT-2-1-2"></div><a id="1448816142964514817_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816142964514817_Note"></span></div><div class="itemTR" id="1448816143107121154_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-2-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>X线片其他异常情况</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816143107121154" itemCode="OIT-2-1-2-1"><a id="1448816143107121154_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816143107121154_Note"></span></div><div class="itemTR" id="1448816143283281921_Row" dic='[{"formItemId":1448816143283281921,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816160106635265,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816143283281921,"isDefault":0,"updateDate":1700190901000,"code":"n","id":1448816160156966914,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="OIT-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有锥形束CT</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816143283281921" itemCode="OIT-2-1-3"></div><a id="1448816143283281921_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816143283281921_Note"></span></div><div class="itemTR" id="1448816143484608513_Row" dic='[{"formItemId":1448816143484608513,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816160249241601,"indNo":1,"isActive":1,"desc":"缺牙区两侧邻牙有异常"},{"formItemId":1448816143484608513,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816160303767553,"indNo":2,"isActive":1,"desc":"缺牙区从矢状面观察有异常"},{"formItemId":1448816143484608513,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816160349904898,"indNo":3,"isActive":1,"desc":"缺牙区从冠状面观察有异常"},{"formItemId":1448816143484608513,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816160387653633,"indNo":4,"isActive":1,"desc":"缺牙区从水平面观察有异常"},{"formItemId":1448816143484608513,"isDefault":0,"updateDate":1700190901000,"code":"e","id":1448816160417013762,"indNo":5,"isActive":1,"desc":"无异常情况"},{"formItemId":1448816143484608513,"isDefault":0,"updateDate":1700190901000,"code":"oth","id":1448816160446373890,"indNo":6,"isActive":1,"desc":"其他"},{"formItemId":1448816143484608513,"isDefault":0,"updateDate":1700190901000,"code":"UTD","id":1448816160479928321,"indNo":7,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="OIT-2-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>锥形束CT有无异常情况</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816143484608513" itemCode="OIT-2-1-4"></div><a id="1448816143484608513_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816143484608513_Note"></span></div><div class="itemTR" id="1448816143593660418_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-2-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>锥形束CT其他异常情况</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816143593660418" itemCode="OIT-2-1-4-1"><a id="1448816143593660418_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816143593660418_Note"></span></div><div class="itemTR" id="1448816143706906625_Row" dic='[{"formItemId":1448816143706906625,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816160538648577,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816143706906625,"isDefault":0,"updateDate":1700190901000,"code":"n","id":1448816160572203010,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="OIT-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有根尖片是否有</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816143706906625" itemCode="OIT-2-1-5"></div><a id="1448816143706906625_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816143706906625_Note"></span></div><div class="itemTR" id="1448816143815958529_Row" dic='[{"formItemId":1448816143815958529,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816160630923266,"indNo":1,"isActive":1,"desc":"缺牙区骨密度、骨小梁情况有异常"},{"formItemId":1448816143815958529,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816160660283394,"indNo":2,"isActive":1,"desc":"缺牙区两侧邻牙情况有异常"},{"formItemId":1448816143815958529,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816160693837825,"indNo":3,"isActive":1,"desc":"缺牙区可用骨量有异常"},{"formItemId":1448816143815958529,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816160727392257,"indNo":4,"isActive":1,"desc":"无异常情况"},{"formItemId":1448816143815958529,"isDefault":0,"updateDate":1700190901000,"code":"oth","id":1448816160756752385,"indNo":5,"isActive":1,"desc":"其他"},{"formItemId":1448816143815958529,"isDefault":0,"updateDate":1700190901000,"code":"UTD","id":1448816160786112514,"indNo":6,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="OIT-2-1-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>根尖片有无异常情况</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816143815958529" itemCode="OIT-2-1-6"></div><a id="1448816143815958529_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816143815958529_Note"></span></div><div class="itemTR" id="1448816143945981953_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-2-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>根尖片其他异常情况</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816143945981953" itemCode="OIT-2-1-6-1"><a id="1448816143945981953_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816143945981953_Note"></span></div><p title="诊断情况：" class="itemsubCat">诊断情况：</p><div class="itemTR" id="1448816144172474370_Row" dic='[{"formItemId":1448816144172474370,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816160849027074,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816144172474370,"isDefault":0,"updateDate":1700190901000,"code":"n","id":1448816160882581505,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="OIT-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否存在下或上颌牙列缺损</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816144172474370" itemCode="OIT-2-2-1"></div><a id="1448816144172474370_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816144172474370_Note"></span></div><div class="itemTR" id="1448816144403161089_Row" dic='[{"formItemId":1448816144403161089,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816160937107457,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816144403161089,"isDefault":0,"updateDate":1700190901000,"code":"n","id":1448816161197154306,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="OIT-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否存在颌牙列缺损伴水平向骨量不足</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816144403161089" itemCode="OIT-2-2-2"></div><a id="1448816144403161089_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816144403161089_Note"></span></div><div class="itemTR" id="1448816144516407298_Row" dic='[{"formItemId":1448816144516407298,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816161293623298,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816144516407298,"isDefault":0,"updateDate":1700190901000,"code":"n","id":1448816161339760641,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="OIT-2-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否存在颌牙列缺损伴垂直向骨量不足</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816144516407298" itemCode="OIT-2-2-3"></div><a id="1448816144516407298_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816144516407298_Note"></span></div><div class="itemTR" id="1448816144625459201_Row" 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style="display:inline-block;width:35%;" title="OIT-3-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>复杂种植手术适应证内容</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816146236071938" itemCode="OIT-3-3-3"></div><a id="1448816146236071938_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816146236071938_Note"></span></div><div class="itemTR" id="1448816146336735233_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-3-3-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他复杂种植手术适应证内容</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816146336735233" itemCode="OIT-3-3-3-1"><a id="1448816146336735233_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816146336735233_Note"></span></div></div><div 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id="1448816147163013122_Row" dic='[{"formItemId":1448816147163013122,"isDefault":0,"updateDate":1700190901000,"code":"def","id":1448816163365609473,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1448816147163013122,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816163399163906,"indNo":2,"isActive":1,"desc":"口服"},{"formItemId":1448816147163013122,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816163428524033,"indNo":3,"isActive":1,"desc":"肌注"},{"formItemId":1448816147163013122,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816163453689858,"indNo":4,"isActive":1,"desc":"静脉注射"},{"formItemId":1448816147163013122,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816163487244289,"indNo":5,"isActive":1,"desc":"静脉点注"},{"formItemId":1448816147163013122,"isDefault":0,"updateDate":1700190901000,"code":"oth","id":1448816163512410114,"indNo":6,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="OIT-4-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药物使用途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816147163013122" itemCode="OIT-4-2-2"><a id="1448816147163013122_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816147163013122_Note"></span></div><div class="itemTR" id="1448816147267870721_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-4-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药物使用其他途径</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816147267870721" itemCode="OIT-4-2-2-1"><a id="1448816147267870721_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816147267870721_Note"></span></div><div class="itemTR" id="1448816147376922626_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用首剂抗菌药物起始时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816147376922626" itemCode="CM-1-4-1"><a id="1448816147376922626_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816147376922626_Note"></span></div><div class="itemTR" id="1448816147494363137_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后抗菌药物停止使用时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816147494363137" itemCode="CM-1-6-1"><a id="1448816147494363137_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816147494363137_Note"></span></div><div class="itemTR" id="1448816147733438466_Row" dic='[{"formItemId":1448816147733438466,"isDefault":0,"updateDate":1700190901000,"code":"def","id":1448816163587907585,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1448816147733438466,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816163621462018,"indNo":2,"isActive":1,"desc":"术后24小时内结束使用"},{"formItemId":1448816147733438466,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816163667599362,"indNo":3,"isActive":1,"desc":"术后48小时内结束使用"},{"formItemId":1448816147733438466,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816163701153794,"indNo":4,"isActive":1,"desc":"术后72小时内结束使用"},{"formItemId":1448816147733438466,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816163743096834,"indNo":5,"isActive":1,"desc":"术后72小时之后继续使用"}]'><div style="display:inline-block;width:35%;" title="CM-1-6-2" class="itemDescTD">使用抗菌药物时间使用时间分层</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816147733438466" itemCode="CM-1-6-2"><a id="1448816147733438466_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816147733438466_Note"></span></div><div class="itemTR" id="1448816147955736577_Row" dic='[{"formItemId":1448816147955736577,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816163822788610,"indNo":1,"isActive":1,"desc":"在主要或次要诊断中术前有感染或具备潜在高危感染因素的患者"},{"formItemId":1448816147955736577,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816163889897473,"indNo":2,"isActive":1,"desc":"术前24小时-48小时内接受抗菌药物治疗的患者，术后仍需继续使用"},{"formItemId":1448816147955736577,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816163940229121,"indNo":3,"isActive":1,"desc":"在手术两天后，被确诊为感染者并行治疗的患者"},{"formItemId":1448816147955736577,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816163986366466,"indNo":4,"isActive":1,"desc":"临床医师认为有继续使用抗菌药物治疗的适应症的患者，并经上级医师认定"},{"formItemId":1448816147955736577,"isDefault":0,"updateDate":1700190901000,"code":"UTD","id":1448816164019920898,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-1-6-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后72小时之后继续使用的原因</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816147955736577" itemCode="CM-1-6-3-2"></div><a id="1448816147955736577_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816147955736577_Note"></span></div></div><div class="itemCat" id="Title5" onclick="objScreen.toggle('OIT-5: 种植体品质信息及植骨材料等其他高值耗材记入病历情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;OIT-5: 种植体品质信息及植骨材料等其他高值耗材记入病历情况</div><div title="OIT-5: 种植体品质信息及植骨材料等其他高值耗材记入病历情况"><p title="OIT-5: 种植体品质信息及植骨材料等其他高值耗材记入病历情况" class="itemsubCat">OIT-5: 种植体品质信息及植骨材料等其他高值耗材记入病历情况</p><div class="itemTR" id="1448816148056399874_Row" dic='[{"formItemId":1448816148056399874,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816164087029762,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816148056399874,"isDefault":0,"updateDate":1700190901000,"code":"n","id":1448816164116389889,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="OIT-5-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有影像学诊断</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816148056399874" itemCode="OIT-5-1-1"></div><a id="1448816148056399874_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816148056399874_Note"></span></div><div class="itemTR" id="1448816148161257473_Row" dic='[{"formItemId":1448816148161257473,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816164179304449,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816148161257473,"isDefault":0,"updateDate":1700190901000,"code":"n","id":1448816164208664578,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="OIT-5-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有高值耗材使用同意书的签署</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816148161257473" itemCode="OIT-5-1-2"></div><a id="1448816148161257473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816148161257473_Note"></span></div><div class="itemTR" id="1491965952424673281_Row" dic='[{"formItemId":1491965952424673281,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1491965955004170242,"indNo":1,"isActive":1,"desc":"ITI"},{"formItemId":1491965952424673281,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1491965955008364545,"indNo":2,"isActive":1,"desc":"Bicon"},{"formItemId":1491965952424673281,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1491965955012558849,"indNo":3,"isActive":1,"desc":"安卓健"},{"formItemId":1491965952424673281,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1491965955016753154,"indNo":4,"isActive":1,"desc":"Nobel"},{"formItemId":1491965952424673281,"isDefault":0,"updateDate":1700190901000,"code":"e","id":1491965955020947458,"indNo":5,"isActive":1,"desc":"Astra"},{"formItemId":1491965952424673281,"isDefault":0,"updateDate":1700190901000,"code":"f","id":1491965955020947459,"indNo":6,"isActive":1,"desc":"Zimmer"},{"formItemId":1491965952424673281,"isDefault":0,"updateDate":1700190901000,"code":"g","id":1491965955025141761,"indNo":7,"isActive":1,"desc":"威高"},{"formItemId":1491965952424673281,"isDefault":0,"updateDate":1700190901000,"code":"oth","id":1491965955029336065,"indNo":8,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="OIT-5-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>种植体系统</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1491965952424673281" itemCode="OIT-5-4-1"></div><a id="1491965952424673281_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491965952424673281_Note"></span></div><div class="itemTR" id="1448816148396138497_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-5-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他种植体系统</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816148396138497" itemCode="OIT-5-2-1-1"><a id="1448816148396138497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816148396138497_Note"></span></div><div class="itemTR" id="1448816148572299266_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-5-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>种植体植入部位</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816148572299266" itemCode="OIT-5-2-2"><a id="1448816148572299266_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816148572299266_Note"></span></div><div class="itemTR" id="1448816148782014466_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-5-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>种植体型号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816148782014466" itemCode="OIT-5-2-3"><a id="1448816148782014466_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816148782014466_Note"></span></div><div class="itemTR" id="1448816148891066370_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-5-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>种植体植入数量</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816148891066370" itemCode="OIT-5-2-4"><a id="1448816148891066370_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816148891066370_Note"></span></div><div class="itemTR" id="1448816148995923970_Row" dic='[{"formItemId":1448816148995923970,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816164653260801,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816148995923970,"isDefault":0,"updateDate":1700190901000,"code":"n","id":1448816164707786753,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="OIT-5-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有骨粉材料使用的记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816148995923970" itemCode="OIT-5-3-1"></div><a id="1448816148995923970_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816148995923970_Note"></span></div><div class="itemTR" id="1448816149100781570_Row" dic='[{"formItemId":1448816149100781570,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816164804255745,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816149100781570,"isDefault":0,"updateDate":1700190901000,"code":"n","id":1448816164842004482,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="OIT-5-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有其他高值耗材使用的记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816149100781570" itemCode="OIT-5-3-2"></div><a id="1448816149100781570_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816149100781570_Note"></span></div></div><div class="itemCat" id="Title6" onclick="objScreen.toggle('OIT-6: 术后并发症')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;OIT-6: 术后并发症</div><div title="OIT-6: 术后并发症"><p title="手术后并发症" class="itemsubCat">手术后并发症</p><div class="itemTR" id="1448816149247582209_Row" dic='[{"formItemId":1448816149247582209,"isDefault":0,"updateDate":1700190901000,"code":"y","id":1448816164913307649,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1448816149247582209,"isDefault":1,"updateDate":1700190901000,"code":"n","id":1448816164942667778,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有手术后并发症</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816149247582209" itemCode="CM-2-1"></div><a id="1448816149247582209_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816149247582209_Note"></span></div><div class="itemTR" id="1448816149453103106_Row" dic='[{"formItemId":1448816149453103106,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816165076885505,"indNo":1,"isActive":1,"desc":"手术并发症(O04.5，T81.1，T81.2，T81.3，T81.7，T81.8)"},{"formItemId":1448816149453103106,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816165106245633,"indNo":2,"isActive":1,"desc":"手术患者手术后肺栓塞(I26.9，O04.2，O07.2，O88.2)"},{"formItemId":1448816149453103106,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816165135605762,"indNo":3,"isActive":1,"desc":"手术患者手术后深静脉血栓(I80.2，I82.8，O22.3，O87.1)"},{"formItemId":1448816149453103106,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816165164965890,"indNo":4,"isActive":1,"desc":"手术患者手术后败血症(T81.4)"},{"formItemId":1448816149453103106,"isDefault":0,"updateDate":1700190901000,"code":"e","id":1448816165194326018,"indNo":5,"isActive":1,"desc":"手术患者手术后出血或血肿(O04.1，O04.6，O04.8，O07.1，O07.6，T81.0)"},{"formItemId":1448816149453103106,"isDefault":0,"updateDate":1700190901000,"code":"f","id":1448816165236269057,"indNo":6,"isActive":1,"desc":"手术患者手术伤口裂开(T81.3)"},{"formItemId":1448816149453103106,"isDefault":0,"updateDate":1700190901000,"code":"g","id":1448816165265629185,"indNo":7,"isActive":1,"desc":"手术患者猝死（手术后24小时内死亡）(R96.0，R96.1)"},{"formItemId":1448816149453103106,"isDefault":0,"updateDate":1700190901000,"code":"h","id":1448816165303377922,"indNo":8,"isActive":1,"desc":"手术患者手术后呼吸道并发症(J95.0至J95.9，J96.0，J96.9)"},{"formItemId":1448816149453103106,"isDefault":0,"updateDate":1700190901000,"code":"i","id":1448816165357903873,"indNo":9,"isActive":1,"desc":"手术患者手术后生理/代谢紊乱(E86.x0，E87.0至E87.8，E88.8，E88.9，E89.0至E89.9)"},{"formItemId":1448816149453103106,"isDefault":0,"updateDate":1700190901000,"code":"j","id":1448816165404041218,"indNo":10,"isActive":1,"desc":"与手术/操作相关感染(O04.0，O07.0，T81.4)"},{"formItemId":1448816149453103106,"isDefault":0,"updateDate":1700190901000,"code":"k","id":1448816165454372865,"indNo":11,"isActive":1,"desc":"手术过程中异物遗留(T81.5)"},{"formItemId":1448816149453103106,"isDefault":0,"updateDate":1700190901000,"code":"l","id":1448816165504704514,"indNo":12,"isActive":1,"desc":"麻醉并发症(T88.2，T88.3，T88.4，T88.5)"},{"formItemId":1448816149453103106,"isDefault":0,"updateDate":1700190901000,"code":"m","id":1448816165550841857,"indNo":13,"isActive":1,"desc":"输注、输血反应(T80.0至T80.9)"}]'><div style="display:inline-block;width:35%;" title="CM-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术后并发症类别及ICD-10四位亚目的选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816149453103106" itemCode="CM-2-2"></div><a id="1448816149453103106_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816149453103106_Note"></span></div><div class="itemTR" id="1448816149667012610_Row" 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style="display:inline-block;width:35%;" title="CM-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>介入操作与手术其他并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816149667012610" itemCode="CM-2-3-1"><a id="1448816149667012610_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816149667012610_Note"></span></div><div class="itemTR" id="1448816149792841729_Row" 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type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816149897699330" itemCode="CM-2-3-3"><a id="1448816149897699330_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816149897699330_Note"></span></div><div class="itemTR" id="1448816150002556929_Row" dic='[{"formItemId":1448816150002556929,"isDefault":0,"updateDate":1700190901000,"code":"def","id":1448816166653943809,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1448816150002556929,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816166683303938,"indNo":2,"isActive":1,"desc":"T81.4操作后的感染,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后败血症</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816150002556929" itemCode="CM-2-3-4"></div><a id="1448816150002556929_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816150002556929_Note"></span></div><div class="itemTR" id="1448816150136774658_Row" 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style="display:inline-block;width:35%;" title="CM-2-3-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后出血或血肿</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816150136774658" itemCode="CM-2-3-5"><a id="1448816150136774658_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816150136774658_Note"></span></div><div class="itemTR" id="1448816150375849985_Row" dic='[{"formItemId":1448816150375849985,"isDefault":0,"updateDate":1700190901000,"code":"def","id":1448816166968516609,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1448816150375849985,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816167002071041,"indNo":2,"isActive":1,"desc":"T81.3手术伤口破裂,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术伤口裂开</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1448816150375849985" itemCode="CM-2-3-6"></div><a id="1448816150375849985_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816150375849985_Note"></span></div><div class="itemTR" id="1448816150556205057_Row" dic='[{"formItemId":1448816150556205057,"isDefault":0,"updateDate":1700190901000,"code":"def","id":1448816167077568513,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1448816150556205057,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816167115317250,"indNo":2,"isActive":1,"desc":"R96.0瞬间死亡"},{"formItemId":1448816150556205057,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816167165648898,"indNo":3,"isActive":1,"desc":"R96.1死亡发生于症状起始后24小时以内,另无解释"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者猝死</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816150556205057" itemCode="CM-2-3-7"><a id="1448816150556205057_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816150556205057_Note"></span></div><div class="itemTR" id="1448816150673645569_Row" 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style="display:inline-block;width:35%;" title="CM-2-3-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后呼吸道并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816150673645569" itemCode="CM-2-3-8"><a id="1448816150673645569_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816150673645569_Note"></span></div><div class="itemTR" id="1448816150778503169_Row" 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title="CM-2-3-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>麻醉并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816151214710786" itemCode="CM-2-3-12"><a id="1448816151214710786_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816151214710786_Note"></span></div><div class="itemTR" id="1448816151365705729_Row" 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dic='[{"formItemId":1448816152833712129,"isDefault":0,"updateDate":1700190901000,"code":"def","id":1448816173096394753,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1448816152833712129,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816173134143490,"indNo":2,"isActive":1,"desc":"抗菌薇乔®"},{"formItemId":1448816152833712129,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816173171892226,"indNo":3,"isActive":1,"desc":"抗菌普迪思®"},{"formItemId":1448816152833712129,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816173213835265,"indNo":4,"isActive":1,"desc":"抗菌单乔®"},{"formItemId":1448816152833712129,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816173264166914,"indNo":5,"isActive":1,"desc":"其他含抗菌剂（三氯生）缝线"}]'><div style="display:inline-block;width:35%;" title="CM-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用含抗菌剂（三氯生）缝线</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816152833712129" itemCode="CM-3-2"><a id="1448816152833712129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816152833712129_Note"></span></div><div class="itemTR" id="1448816153047621634_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他含抗菌剂缝线填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816153047621634" itemCode="CM-3-2-1"><a id="1448816153047621634_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816153047621634_Note"></span></div><div class="itemTR" id="1448816153156673537_Row" dic='[{"formItemId":1448816153156673537,"isDefault":0,"updateDate":1700190901000,"code":"def","id":1448816173360635905,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1448816153156673537,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816173431939074,"indNo":2,"isActive":1,"desc":"0 类切口"},{"formItemId":1448816153156673537,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816173478076418,"indNo":3,"isActive":1,"desc":"Ⅰ类切口"},{"formItemId":1448816153156673537,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816173528408066,"indNo":4,"isActive":1,"desc":"Ⅱ类切口"},{"formItemId":1448816153156673537,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816173603905537,"indNo":5,"isActive":1,"desc":"Ⅲ类切口"},{"formItemId":1448816153156673537,"isDefault":0,"updateDate":1700190901000,"code":"UTD","id":1448816173687791618,"indNo":6,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术切口类别的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816153156673537" itemCode="CM-3-3"><a id="1448816153156673537_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816153156673537_Note"></span></div><div class="itemTR" id="1448816153261531138_Row" dic='[{"formItemId":1448816153261531138,"isDefault":0,"updateDate":1700190901000,"code":"def","id":1448816173830397954,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1448816153261531138,"isDefault":1,"updateDate":1700190901000,"code":"a","id":1448816173868146689,"indNo":2,"isActive":1,"desc":"甲级愈合"},{"formItemId":1448816153261531138,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816173926866946,"indNo":3,"isActive":1,"desc":"乙级愈合"},{"formItemId":1448816153261531138,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816173973004289,"indNo":4,"isActive":1,"desc":"丙级愈合"},{"formItemId":1448816153261531138,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816174019141633,"indNo":5,"isActive":1,"desc":"深部感染"},{"formItemId":1448816153261531138,"isDefault":0,"updateDate":1700190901000,"code":"UTD","id":1448816174086250498,"indNo":6,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术切口愈合情况的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816153261531138" itemCode="CM-3-4"><a id="1448816153261531138_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816153261531138_Note"></span></div></div><div class="itemCat" id="Title9" onclick="objScreen.toggle('OIT-9: 种植成功评价情况（符合Albrektsson-Zarb标准）')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;OIT-9: 种植成功评价情况（符合Albrektsson-Zarb标准）</div><div title="OIT-9: 种植成功评价情况（符合Albrektsson-Zarb标准）"><p title="评价情况" class="itemsubCat">评价情况</p><div class="itemTR" id="1448816153366388737_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-9-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>评价日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816153366388737" itemCode="OIT-9-1-1"><a id="1448816153366388737_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816153366388737_Note"></span></div><div class="itemTR" id="1448816153479634945_Row" dic='[{"formItemId":1448816153479634945,"isDefault":0,"updateDate":1700190901000,"code":"a","id":1448816174203691010,"indNo":1,"isActive":1,"desc":"种植体无动度"},{"formItemId":1448816153479634945,"isDefault":0,"updateDate":1700190901000,"code":"b","id":1448816174266605570,"indNo":2,"isActive":1,"desc":"X 线显示种植体周围无透射区"},{"formItemId":1448816153479634945,"isDefault":0,"updateDate":1700190901000,"code":"c","id":1448816174325325825,"indNo":3,"isActive":1,"desc":"种植体功能负载一年后，垂直方向骨吸收小于 0.2mm/年"},{"formItemId":1448816153479634945,"isDefault":0,"updateDate":1700190901000,"code":"d","id":1448816174388240385,"indNo":4,"isActive":1,"desc":"种植体无持续性或不可逆的症状，如疼痛、感染、麻木、坏死、感觉异常及下颌管损伤"},{"formItemId":1448816153479634945,"isDefault":0,"updateDate":1700190901000,"code":"UTD","id":1448816174446960641,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="OIT-9-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>种植成功评价标准</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1448816153479634945" itemCode="OIT-9-1-2"></div><a id="1448816153479634945_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816153479634945_Note"></span></div></div><div class="itemCat" id="Title10" onclick="objScreen.toggle('OIT-10: 总费用（元）')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;OIT-10: 总费用（元）</div><div title="OIT-10: 总费用（元）"><p title="OIT-10: 总费用（元）" class="itemsubCat">OIT-10: 总费用（元）</p><div class="itemTR" id="1448816153634824193_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>门诊或住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816153634824193" itemCode="CM-6-1"><a id="1448816153634824193_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816153634824193_Note"></span></div><div class="itemTR" id="1448816153844539393_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-10-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术治疗费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816153844539393" itemCode="OIT-10-1-1"><a id="1448816153844539393_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816153844539393_Note"></span></div><div class="itemTR" id="1448816153953591297_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-10-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816153953591297" itemCode="OIT-10-1-2"><a id="1448816153953591297_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816153953591297_Note"></span></div><div class="itemTR" id="1448816154054254593_Row" dic='[]'><div style="display:inline-block;width:35%;" title="OIT-10-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：种植体费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1448816154054254593" itemCode="OIT-10-1-3"><a id="1448816154054254593_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1448816154054254593_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>OIT-1: 术前评估</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>OIT-2: 影像学检查与诊断情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>OIT-3: 手术适应证</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>OIT-4: 围术期预防性抗菌药物使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>OIT-5: 种植体品质信息及植骨材料等其他高值耗材记入病历情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>OIT-6: 术后并发症</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>OIT-7: 为患者提供种植修复后口腔健康教育情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>OIT-8: 手术切口愈合情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title9'>OIT-9: 种植成功评价情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title10'>OIT-10: 总费用</a></li></ul></div>
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